Recently Answered Questions
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There is a drastic decrease in my platelet count in the last five months. Why?
Query: Hi doctor, My hemoglobin level increased from 15 to 17, and platelet count decreased from 3.1 to 1.4 lakhs in the last five months. The only symptom I have is occasional skin itching. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. As your platelet count decreased over four months duration, chronic infection and drug history have to be ruled out first. If they are not causative then a detailed investigation plan should be decided according to the examinations as follows: ESR (erythrocyte sedimen... Read Full »
What Is The Reason For High Monocyte and Eosinophil?
Query: Hi doctor, My blood reports show high monocytes and eosinophils for over two years of span. I feel there is no energy, muscle spasms, splenomegaly, muscle pain, and malaise. I am seropositive RA. But, my CRP and ESR are normal most of the time. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Rheumatoid arthritis is one of the causes for high monocyte count and multisystemic involvement. Hence, treatment for that is nonsteroidal anti-inflammatory drugs and disease modifying drugs like Leflunomide, etc. The high eosinophil count causes include allergy, para... Read Full »
I have pain in my penis with a scar. What is the cause?
Query: Hi doctor, After testing positive for celiac disease, I had an EGD and biopsy three weeks ago. The pathology report stated that I had marked acute and chronic inflammation with severe reactive epithelial changes including villus blunting and gastric metaplasia. I was negative for H. pylori as I was ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Here according to your history, you were positive for gluten disease. So, you might have done tissue transglutaminase antibody testing. It is very sensitive for that and then, a biopsy for confirmation. In histopathology report, villous blunting present but int... Read Full »
The reports of bone marrow aspiration and biopsy differ. How?
Query: Hi doctor,Bone marrow aspiration twice showed hypercellular bone marrow with overgrowth of WBC and megakaryocytes with all stages of maturing including micromegakaryocytes. But at the same time, the second BMA during bone marrow biopsy showed normocellular bone marrow. Is something like that possibl... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. You have not mentioned the age of the patient, peripheral smear, and CBC (complete blood count) findings. You have mentioned that bone marrow was showing overgrowth of the WBC (white blood cells) and micromegakaryocytes. So, it is a myeloproliferative condition. ... Read Full »
A 21 year old male fainted suddenly after a party. Please guide us.
Query: Hello doctor, This query is regarding a 21 year old male having no health complications in the past who suddenly fainted after a party. We took him to our GP for the check up. The GP found nothing wrong and advised rest. However, we went to the lab on our own and carried out CBC. WBC count was high... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. The diagnosis in your case is lymphocytosis. The underlying cause for the lymphocytosis should be searched for. For that, a detailed physical examination should be done and liver, spleen and lymph nodes should be palpated. Infectious mononucleosis, viral influenza, h... Read Full »
Kindly suggest some preventive measures for elephantiasis.
Query: Hi doctor, Two of my neighbors are infected with elephantiasis. I am afraid as mosquitos are frequent in our area. Please suggest me the measures of prevention. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Filariasis is transmitted by culex mosquito. So, I appreciate your knowledge that you know filariasis transmitted by mosquito bite. The most efficient first step for prevention is to avoid mosquito bites by using personal protection measures. Use skin cream ava... Read Full »
My platelet count is high. What could be the reason?
Query: Hello doctor, Can you please help me understand my test results? My platelet count is at 1314, and my doctors are unable to give me a specific reason for it. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect the patient's identity). Let me tell you that you have a high platelet count in your CBC (complete blood count) report. The cause can be primary or secondary reactive. Sometimes following infections, p... Read Full »
What is the diagnostic feature in the blood of stage 4 leukemia?
Query: Hi doctor, Can you help me read the attached report of my friend's blood test? Please explain about her condition. I want to check if the patient is diagnosed with leukemia. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. Here, in the attached report (attachment removed to protect patient identity), some part of the peripheral smear examination report is not visible in leukocyte. Upload peripheral smear examination report, which is fully visible, so that I can comment on it. The leukocyt... Read Full »
Kindly tell me if anything is wrong with my blood report.
Query: Hi doctor, I am attaching my CBC report. Please tell me if anything is wrong with it. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). There is a mild elevation of total leukocyte count and absolute lymphocytes count is slightly high. So, there is nothing alarmingly wrong. You have no clinical complaint also, so this coul... Read Full »
My uncle suffers from constant chest and stomach pain. Why?
Query: Hi doctor, My uncle is having constant chest pain and stomach ache. His hemoglobin level is 6.20 mg/dL; platelet count is 598000 per mcL and ESR is 60 mm/hour. What is causing his symptoms? I am attaching my uncle's blood reports. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. After going through your uncle's reports (attachment removed to protect patient identity), your uncle's hemoglobin is low, and platelet count is raised. A peripheral smear examination has to be done. If the peripheral smear is suspicious, then further workup needs to be... Read Full »